<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    {:token()}
    <input type="hidden" name="ids" value="{$ids}">
    <h5>请填写试用会员的时间/单位月份</h5>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('试用月份')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input id="c-month" data-rule="required" class="form-control " name="month" type="number" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
